Provider Demographics
NPI:1407943830
Name:SETTY, RAJENDRA P (MD)
Entity Type:Individual
Prefix:
First Name:RAJENDRA
Middle Name:P
Last Name:SETTY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 COOPER PLZ
Mailing Address - Street 2:SUITE 502
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1438
Mailing Address - Country:US
Mailing Address - Phone:856-968-7433
Mailing Address - Fax:
Practice Address - Street 1:3 COOPER PLZ
Practice Address - Street 2:SUITE 200
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1438
Practice Address - Country:US
Practice Address - Phone:856-342-2472
Practice Address - Fax:856-968-8414
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA0815942080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2767176OtherUNITED HEALTHCARE
NJP3722831OtherOXFORD
NJ0116254Medicaid
NJ1399450OtherAETNA
NJ9660865OtherCIGNA
NY02832828Medicaid
NJ2800737000OtherAMERIHEALTH/KEYSTONE/IBC
NJ43524OtherUNIVERISTY HEALTH PLAN
NJ60025717OtherHORIZON NJ HEALTH
NJ01007801200OtherAMERICHOICE
NJ3K5751OtherHEALTHNET
NJ7207875OtherAETNA
NY02832828Medicaid